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Multiple Choice
Gallstones are hard “stones” made of cholesterol or bilirubin that can form in your gallbladder or bile ducts. A patient has a gallstone located in one of the ducts associated with the gallbladder. If the bile is able to reach the gallbladder but not able to reach the duodenum, in which duct is the stone likely located?
A
Common hepatic duct.
B
Bile duct.
C
Cystic duct.
D
Pancreatic duct.
Verified step by step guidance
1
Understand the anatomy of the biliary system: The biliary system includes the liver, gallbladder, and bile ducts. Bile is produced in the liver, stored in the gallbladder, and released into the duodenum via a series of ducts.
Identify the ducts involved: The main ducts are the common hepatic duct, cystic duct, common bile duct, and pancreatic duct. The common hepatic duct carries bile from the liver, the cystic duct connects the gallbladder to the common bile duct, and the common bile duct carries bile to the duodenum.
Analyze the problem: The bile can reach the gallbladder, indicating that the cystic duct is not blocked. However, bile cannot reach the duodenum, suggesting a blockage further along the pathway.
Consider the possible locations of the blockage: Since bile can reach the gallbladder but not the duodenum, the blockage is likely in the common bile duct, which is the duct that carries bile from the gallbladder and liver to the duodenum.
Conclude the likely location of the gallstone: Given the information, the gallstone is most likely located in the common bile duct, as this would prevent bile from reaching the duodenum while still allowing it to reach the gallbladder.